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Home My WebLink About209580 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 155400 Page 1 of 1 ONE CIVIC SQUARE INDIANA STATE BAR ASSOC 4 CHECK AMOUNT: $295.00 CARMEL, INDIANA 46032 ONE INDIANA SQUARE, SUITE 530 INDIANAPOLIS IN 46204 -2199 CHECK NUMBER: 209580 CHECK DATE: 6/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4355300 STMT 295.00 ORGANIZATION MEMBER INDIANA STATE BAR ASSOCIATION METHOD OF PAYMENT (CHECK ONE BOX) DUES NOTICE ❑VISA [:]MASTERCARD [:]DISCOVER July 1, 2012 June 30, 2013 CARD NUMBER ONE INDIANA SQUARE, SUITE 530 INDIANAPOLIS, IN 46204 -2199 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 317 639 -5465 800 266 -2581 Fax: 317-266-2588 e -mail: isbaadmin @inbar.org EXP. DATE YOU MAY PAY DUES ONLINE UNTIL 9 -30 -12 7 UPDATE YOUR MEMBERSHIP ECK Verification Code INFORMATION: www.inbar.org payable to: Indiana State Bar Association Automatic Credit Card Renewal Option: By initialing here, your 29235 dues will automatically be charged to your credit card July 1st of each year Nan S. Heck at the appropriate dues rate in existence for the ISBA at the time of renewal. Nancy To cancel your automatic renewal, members must notify the ISBA 10 days City of Carmel prior to the renewal date. One Civic Square Carmel, IN 46032 Regular Dues (6 yrs or over) 280.00 Governmental Practice Section 15.00 ADDRESS, E -MAIL, PHONE FAX CORRECTIONS REQUESTED ON BACK Voluntary IBF Contribution X6.00 CHANGES IN SECTION ENROLLMENTS: Please Voluntary Barpac Contribution .—tt.tiq indicate with an X any section you wish to add. AGRICULTURAL LAW $20 Total 345.00 ALTERNATIVE DISPUTE RESOLUTION $20 50-06 ANIMAL LAW $15 APPELLATE PRACTICE $20 BANKRUPTCY CREDITORS' RIGHTS $30 BUSINESS LAW $10 Amount Paid: �v D D CONSTRUCTION SURETY $20 CORPORATE COUNSEL $10 CRIMINAL JUSTICE $20 ELDER LAW $20 EMPLOYMENT &LABOR LAW $25 T .5; ,L G7 ENVIRONMENTAL LAW $25 FAMILY JUVENILE LAW $15 GENERAL PRACTICE, SOLO SMALL FIRM $25 GOVERNMENTAL PRACTICE $15 C "^'I l S� HEALTH LAW $15 3 Oc� INTELLECTUAL PROPERTY $10 INTERNATIONAL LAW $15 LAND USE &ZONING $15 LITIGATION $15 PLEADS (Prof. Legal Ed., Admissions Development) $20 PROBATE, TRUST REAL PROPERTY $20 SENIOR LAWYERS $15 TAXATION $25 UTILITY LAW $20 YOUNG LAWYERS $10 INCLUDE THIS PORTION WITH REMITTANCE. See reverse side for important information regarding tax deductions. PLEASE UPDATE YOUR E -MAIL ADDRESS, PHONE, FAX AND OTHER DEMOGRAPHIC INFORMATION E -MAIL ADDRESS PHONE NUMBER FAX NUMBER HOME OFFICE Membership Dues and Section Dues are not tax deductible as charitable contributions, but a portion may be tax deductible under other provisions CITY STATE ZIP of the Internal Revenue Code. This year, 5% of your dues were used for lobbying expenses and may not be tax deductible. The Indiana Bar Foundation is a 501(c)(3) organization. The $40.00 listed FIRM, EMPLOYER NAME OR PUBLIC OFFICE is a voluntary charitable contribution. BARPAC is a political action committee. The $10.00 contribution listed is voluntary and not tax deductible. AREA OF PRACTICE $5.00 is allocated from your dues payment for your Res Gestae subscription. PLEASE CHECK THE APPROPRIATE BOXES. a. FEMALE b. MALE 1. AFRICAN AMERICAN 2. AMERICAN INDIAN 3. ASIAN 4. ❑CAUCASIAN 5. El HISPANIC 6.❑ OTHER Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/21/12 Statement $295.00 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana State Bar Association IN SUM OF One Indiana Square, Suite 530 Indianapolis, IN 46204 -2199 $295.00 ON ACCOUNT OF APPROPRIATION FOR Community Relations PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1203 Statement 43- 553.00 $295.00 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Mond June 04, 2012 Community alations Title Cost distribution ledger classification if claim paid motor vehicle highway fund